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Revenue Recognition and Contractual Adjustments (Tables)
6 Months Ended
Jun. 30, 2020
Revenue from Contract with Customer [Abstract]  
Summary of Contract Assets and Liabilities
The following table summarizes the values of contract assets, capitalized commissions and contract liabilities as of June 30, 2020 and December 31, 2019 (in thousands):

June 30, 2020December 31, 2019
Current pharma contract assets (1)
$1,255  $1,000  
Long-term pharma contract assets (2)
221  153  
Total pharma contract assets$1,476  $1,153  
Current pharma capitalized commissions (1)
$183  $133  
Long-term pharma capitalized commissions (2)
820  798  
Total pharma capitalized commissions$1,003  $931  
Current pharma contract liabilities$3,570  $1,610  
Long-term pharma contract liabilities (3)
631  1,171  
Total pharma contract liabilities$4,201  $2,781  
(1) Current pharma contract assets and Current pharma capitalized commissions are classified as “Other current assets” on the Consolidated Balance Sheets.
(2) Long-term pharma contract assets and Long-term pharma capitalized commissions are classified as “Other assets” on the Consolidated Balance Sheets.
(3) Long-term pharma contract liabilities are classified as “Other long-term liabilities” on the Consolidated Balance Sheets.
Summary of Disaggregation of Revenue
The following table details the disaggregation of revenue for both the Clinical and Pharma Services Segments (in thousands):
Three Months Ended June 30,Six Months Ended June 30,
2020201920202019
Clinical Services:
    Client direct billing$45,244  $54,008  $99,535  $103,243  
    Commercial Insurance15,148  20,894  37,142  41,802  
    Medicare and Medicaid13,541  13,719  30,024  29,581  
    Self-Pay(49) 361  165  566  
Total Clinical Services $73,884  $88,982  $166,866  $175,192  
Pharma Services:13,093  12,731  26,141  22,098  
Total Revenue$86,977  $101,713  $193,007  $197,290